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September 12, 2025American Journal of Forensic Medicine & Pathology

Gunshot Wound With Massive Intraintestinal Hemorrhage

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Authors

JWJonathan WassinkTHThomas HolobynJPJoseph A. PrahlowOffice of Chief Medical Examiner

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Implication

Case highlights an unusual finding of extensive intraintestinal hemorrhage in a gunshot injury, suggesting clinicians need to consider its implications.

Key Points

  • A major finding includes a recorded intraintestinal hemorrhage of 1.3 liters.
  • Physical examination during autopsy revealed relatively low levels of intraperitoneal and retroperitoneal hemorrhage.
  • The case emphasizes that the intestinal lumen can serve as a space for significant blood accumulation after abdominal trauma.
  • Emergency physicians and trauma surgeons should recognize this possibility in relevant trauma cases.

Cite This Study

Wassink et al. (2025) studied this question.

synapsesocial.com/papers/68d41ee1713b0b5dfea68123https://doi.org/10.1097/paf.0000000000001074
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